Individual
WILLIAM F NICLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
229 RODMOR RD, HAVERTOWN, PA 19083-4924
(610) 853-9654
Mailing address
229 RODMOR RD, HAVERTOWN, PA 19083-4924
(610) 853-9654
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001955L
PA
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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